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JEFFREY LOUIS PROVIZER DO
DO
Family Medicine Physician
NPI: 1316931405IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
5101013058(MI)
Education
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Class of 1996
Contact & Hours
Via IHA OOMA PRIMARY LLC · 3 locations total
- Address
- 4123 MARTIN RD STE 102
COMMERCE TOWNSHIP, MI 48390 - Phone
- (248) 366-3700
Quick Facts
- NPI
- 1316931405
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 3
- Years in Practice
- 30
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